Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080


Turkish Journal of Vascular Surgery 1995 , Vol 4 , Issue 1
İsolated Subclavlan Artery lnjuries: Four Case Report
Ahmet HUMULU1, An l APAYDIN1, Mustafa ÖZBARAN1, Suat BÜKET1, Alp ALYUNT1, Faik OKUR1, Berent DİŞÇİGİL1, Münevver YÜKSEL1, İsa DURMAZ1
1Ege Üniversitesi Tıp Fakültesi Göğüs, Kalp ve Damar Cerrahisi Anabilim Dalı, İzmir Subclavian artery injury is seldom an isolated event. 4 male patients, 3 with penetrat•ing, 1 with blunt travma were operated between 1992-1994 in our clinic. Three patients with penetrating trauma were taken to the operating room emergently due to massive bleeding. The patient with blunt trauma was operated after angiogram. in 3 aut of 4 pati• ents, proximal subclavian artery was injured. Median sternotomy in two patients and left posterolateral thoracotomy in one patient was done for proximal control. Due to delay in transportation one patient developed cardiopulmonary arrest and was taken to the operating room under cardiopulmonary resuscitation (pH: 6.7 Base deficid: -32), emergent left to• racotomy was done ta control bleeding and then the operation continued. There is no mortality in this series. One pati• ent developed hydrothorax in late postoperative period. Another patient with motor deficit of his left arm due to brachial plexus injury did not show any improvement neurologically. Keywords :